Drake, Jamie Michelle

Drake, Jamie Michelle is an individual health care provider with primary practice located at 1551 E Mullan Ave Bldg A Ste 200A , Post Falls ID 83854. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Drake, Jamie Michelle can be contacted via phone (208) 262-2482.

Contact Information

Primary practice address
1551 E Mullan Ave Bldg A Ste 200A Post Falls ID 83854
Phone: (208) 262-2482
Fax: (208) 262-7460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-2080 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-2080 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2080 Idaho

Profile Details

NPI number 1144268574
LBN Legal business name Drake, Jamie Michelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Aug 8th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144268574 NPPES
Idaho MEDICAID 1144268574

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